Active NPI
Shenae Osborn, LMSW, MA
- Social Worker
- Queens, NY
National Provider Identifier
1205590148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114044-01
- Practice address
- 98-120 Queens Blvd
#1C
Queens, NY 11374-1137 - Phone
- (646) 397-4183
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 114044-01 | NY | Primary |
Addresses
Primary practice location
98-120 Queens Blvd
#1C
Queens, NY 11374-1137
Mailing address
98120 Queens Blvd Ste 1C
Rego Park, NY 11374-4414
Phone (718) 830-0246
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shenaelmsw@protomail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114044-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1205590148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD STE 1C",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744414",
"telephone_number": "718-830-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-120 QUEENS BLVD",
"address_2": "#1C",
"city": "QUEENS",
"state": "NY",
"postal_code": "113741137",
"telephone_number": "646-397-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "SHENAE",
"name_prefix": "Ms.",
"credential": "LMSW, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "114044-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shenaelmsw@protomail.com",
"affiliation": "N",
"endpointDescription": "HIPAA Compliant email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "client info exchange",
"address_1": "606 W 57th St Apt 441",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100191336",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.